Individual
KATHRINE TORRIE WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3862 RIVER RD N, KEIZER, OR 97303-4866
(503) 371-6717
Mailing address
3862 RIVER RD N, KEIZER, OR 97303-4866
(503) 371-6717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5586
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5586
STATE PHARMACIST LICENSE
OR
Enumeration date
03/13/2012
Last updated
03/13/2012
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